Provider Demographics
NPI:1992348213
Name:RAWSON, TERRI L (LPC)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:RAWSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E CAMPUS DRIVE
Mailing Address - Street 2:WELLNESS CENTER
Mailing Address - City:BETHANY
Mailing Address - State:WV
Mailing Address - Zip Code:26032
Mailing Address - Country:US
Mailing Address - Phone:304-829-7572
Mailing Address - Fax:
Practice Address - Street 1:1000 COMMERCE DR STE 1008
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4739
Practice Address - Country:US
Practice Address - Phone:304-829-7572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016913101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2698OtherLPC LICENSURE